Presidential M1 Mentorship Award Program Application Name* Position/Title* Department* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Email* Phone Number*NIH Biographical Sketch*Max. file size: 100 MB.Please be sure to use current format. Current format can be found here: https://grants.nih.gov/grants/forms/biosketch.htm (Not to exceed five pages).Letter of Support from Department Chair*Max. file size: 100 MB.Letter must state department’s commitment for 25% protected time for mentoring activities by applicant. Department Chair Name and Email*M1 Mentorship Proposal*Max. file size: 100 MB.Describe your mentoring philosophy and list current and past mentoring activities describing successful impact where so demonstrated. Describe in detail your proposed M1 Mentorship plan including activities to positively impact the recruitment of underrepresented mentees. (Not to exceed 2 pages, single spaced, 12-point font, 1 inch margins, no attachments)NameThis field is for validation purposes and should be left unchanged.